Case Studies

Behavioral Concepts Inc. (BCI)

The Situation:

This client was seeing over 400 children on the autism spectrum.  The team of RBTs and BCBAs were seeing those kids and families in the family homes.  The in-house billing team was overwhelmed with the volume of claims to file, payments to post, rejected claims to appeal, and new BCBAs to credential.  In addition, the accounts receivable held a substantial number of rejected claims.  The claims process was simply too much for the in-house billing team. 

What We Did:

MBM came in at the same time as the new AccuPoint® system for recording the sessions with the kids and billing the sessions to insurances.  As MBM took over the billing and collections process, we immediately brought in more resources for this billing assignment.  We more than doubled the number of people doing this work for BCI (from 3.5 FTEs to 8 FTEs, plus a credentialing team).  The in-house billing team was re-deployed to handle other pressing needs within the practice.

The Results:

A Huge Increase In Cash Flow.

The in-house billing team had been collecting approximately 69% of the charges each month.  The MBM team was able to increase this within 3 months to over 96% of the charges being collected each month – a huge increase in cash flow.  Dr. Robinson's video interview tells this story in detail.  We were delighted to help this wonderful ABA practice.

Greater Boston ABA Associates

The Situation:

When we were engaged, this client was treating 120 children on the autism spectrum, and was using a sub-optimal billing system.  The sessions with the kids were recorded in one system, then dropped into an online portal, and the billing company picked up the claims electronically and re-entered the claims into the billing software system and transmitted the claims to the payers.  This complicated process resulted in delays in payments.  The prior billing company had to re-enter hundreds of claims each month, and not surprisingly, was overwhelmed.

What We Did:

MBM brought in CentralReach® and took over the billing process.  CentralReach enables an ABA provider practice to not only capture the sessions with the kids but also to bill those claims to insurances from the same database, without re-entering the sessions.  This vastly more efficient process requires far fewer keystrokes, resulting in faster, timelier billing and much improved cash flow.
 

The Results:

A Dramatic Expansion of the Practice.
We immediately relieved the immense financial pressure from delayed cash flow.  This allowed the Greater Boston ABA team to bring in the kids on their waiting list, and build a bigger (and still rapidly growing) ABA practice.  Kim Cesario, CEO of Greater Boston ABA tells the story in the video. All of us at MBM were delighted to help this great ABA practice to grow.

SBS Strategic Behavioral Solutions
 

The Situation:

This client was growing their practice at the same time that they were creating a billing department.  The practice succeeded: they steadily increased the number of children being seen in their homes by ABA therapy providers.  And they successfully hired new therapists to meet the demands of their growing practice.  But the in-house billing team fell further and further behind on both credentialing the new providers and also on appealing/re-filing denied claims.  The volume of transactions was overwhelming the billing department, causing significant delays in cash flow.

What We Did:

Our team took over the billing process by logging in remotely to the client's AccuPoint system every day to keep claims filing current.  Our team relieved the client billing team of the burden of filing appeals and correcting and re-filing denied claims.  We also brought in the MBM-recommended credentialing team to clean up the backlog of credentialing work.   This helped streamline the entire credentialing and billing process, so that stress levels dropped and cash flow increased

The Results:

Better Cash Flow & Rapid Growth of the Practice.The outcome was exactly what was desired.  With our increased resources working claims, filing and posting payments, and managing their accounts receivable, our client enjoyed an immediate and substantial improvement in their cash flow.  The Founders of Southeastern ABA describe this in this video interview.  Our entire MBM team was delighted to help this wonderful ABA agency to further succeed in its mission.

 
 

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